If you’re practicing in BC, you should be eligible to submit your Worksafe BC claims online via Teleplan.
To make things one step easier, we’ve integrated with the Medical Services Plan (MSP) Teleplan system so you can use Jane to handle all of your WSBC submissions.
Additionally, you must apply for and sign a contract with Worksafe BC in order to become an approved provider. You can find more information about that here.
In the meantime you can still set up the WSBC insurer and claims in Jane.
Set Up the Insurer
Under Settings > Insurers, click on the New Insurer button in the top right and select the “WSBC - Teleplan” insurer type from the list or Create a New One to track this manually instead.
At the bottom of the insurer details, you’ll want to make sure to leave the user fee field blank and uncheck the box for “patient pays remaining” as the entire cost of treatment is billed to WSBC as per their fee codes and guidelines.
Prepare the Profile
Teleplan requires certain pieces of profile information to accept claims.
Under the Edit view of the profile, ensure the following fields are complete:
- First Name (LEGAL name only)
- Last Name (LEGAL name only)
- Personal Health Number (PHN)
- Legal Gender
- Address (the province is the most important part, make sure that BC is entered just like that, no dots or spaces)
Create a Claim
You can review our guide for the basics of Creating a Claim. WSBC claims don’t vary too much from other claims you’d track through Jane.
The required fields are:
- Claim number
- Date of Injury
- Area of Injury
- Anatomical Position
- Nature of Injury
- End Date
These fields must match what has been approved on the claim. To check the status of the claim and what has been approved, you can visit Worksafe’s Claim Status page Here.
You can leave the default fee codes blank. Because WSBC claims are often block billed, you will only need to enter fee codes on the dates of service that match when a block is being billed and that can be done from the appointment in your schedule.
For more information on the rules and guidelines for billing Physiotherapy Services to WSBC, please refer to their Reference Manual.
Billing the Claim to WSBC
The claim needs to be attached to each appointment even if you’re not entering a fee code to bill for a block. It’s just as important to track the visits in between a block billing as it is to enter the fee codes on the dates you’re billing for a block.
When adding the claim to one of these zero dollar subsequent visits it will look like this in the Insurer area of the Appointment Pane:
No charge to the insurer and no charge to the patient.
Billing a Block
If there is an appointment where you need to bill a report or a block of billing, just open up the “Insurance” area of the appointment pane and add in the appropriate billing code.
The claim is generated upon marking the visit as Arrived.
For a comprehensive list of the WSBC fee codes and their corresponding amounts for both Standard and Post-Surgical Treatment Streams, please visit the Worksafe BC website here and download their fee schedule PDF.
If you’ve entered a fee code, after Arriving the visit, find your claim under Billing > Claim Submissions > Unsubmitted (Teleplan). Claims will sit here until they are reviewed and submitted.
For the next step of submission, you can follow our guide on Sending Teleplan Claims.
Managing the Claim
A couple of points to help make managing your WSBC claims easier.
End dates are very important with WSBC claims. You can keep track of the end date on the main page of the claim.
A standard treatment block is approved for 6 weeks, and a post-surgical treatment block is approved for 8 weeks. The treatment block begins on the first date of service after the assessment block. Approximately 2 weeks before the end date you’ll need to determine whether the patient will be discharged or if they require an extension.
If an extension is to be requested, you’ll want to prepare the extension request report and bill the treatment block on the same date that is listed on the extension request. Ideally, this would be on a day that the patient is in the office for treatment. The date of service on the extension report must match the date that the fee code for the block was billed.
If the patient is going to be discharged and no extension is being requested, you’ll wait until the last approved date of treatment and bill the discharge report and treatment block together. The date of service on the discharge report must match the last date the patient was in for treatment.
In the Patient’s insurance claim area (Patient Profile > Billing > Claims), you can also…
See the details of the claim to date, like amounts billed and paid, and visit counts:
Add notes or Tasks to create reminders regarding a specific claim.
And view all of a claims appointments in one place:
Reports are also a very important part of Worksafe claims. Make sure that you are faxing your reports no later than 7 calendar days after the visit that corresponds with the report. Worksafe will apply a penalty to the amounts billed for any late report submissions.
You can find the full list of downloadable PDF versions of WSBC reports here. A little time saving trick - If you’re accessing Jane on a desktop or laptop computer, download a PDF copy of each report and save them to a file on the desktop of your computer for quick and easy access in the future.
Please let us know if you have any questions or concerns about any claims you’re trying to submit. We’re here to help!
You can always email us at firstname.lastname@example.org with more questions.